Patient Access Representative - PRN/Part Time

TCH Medical Center; Austin (TX); On-site; USD 35,000 - 52,000; Full time

Job summary

TCH Medical Center in Austin, TX is seeking a Patient Access Representative to register patients, verify demographics, and coordinate with payers and hospital departments to secure reimbursement.

You will monitor accounts, enter data accurately, and support compliance with EMTALA and healthcare regulations while pursuing timely collections.

Qualifications

• High School Diploma or equivalent required.
• 6 months experience as an admissions representative/counselor performing registration processes preferred.
• Associate or bachelor's degree may be substituted for the experience.

Responsibilities

• Obtains, verifies, and enters complete and accurate demographic information on all accounts to facilitate smooth processing through the revenue cycle.
• Searches the patient accounting system for existing medical records and avoids duplicates in the master patient index.
• Enters complete demographic information with correct spelling of patient name, date of birth, gender, address, phone number, and guarantor data.
• Monitors and works assigned DARs and/or work queues daily to secure all elements of accounts for billing.
• Financially secures all patient accounts to maximize hospital reimbursement in a customer service-oriented fashion.
• Pursues collections at the time of service to maximize cash flow.
• Provides complete and accurate documentation on each visit to ensure compliance with regulations.
• Supports process improvements through data collection and evaluation of departmental roles.

Skills

Data accuracy

Customer service

Payer communication

Revenue cycle

Education

High School Diploma or equivalent

Associates or Bachelors optional

Tools

Admissions software

Job description

We’re hunting for a Patient Access Representative, someone who’s ready to be part of the best ranked children’s hospital in Texas, and among the best in the nation. In this position, you will ensure timely and accurate patient registration by serving as the liaison between patient/family, payers, Healthcare Information Management (Medical Records), Patient Financial Services (PFS or Business Services) and other health care team members. While utilizing a unique medical record number, the Patient Access Representative will facilitate patient tracking and billing by obtaining/verifying accurate and complete demographic information, financially securing, and collecting out-of pocket responsibility from guarantors to maximize hospital reimbursement. Maintain compliance with EMTALA, The Joint Commission, and all other hospital and government regulations applicable to the admissions setting. Identify non-resource patients for possible eligibility for government resources and/or the Hospital's charity program and refer these patients to a financial counselor.

Think you’ve got what it takes?

Job Duties & Responsibilities

• Obtains, verifies, and enters complete and accurate demographic information on all accounts to facilitate smooth processing through the revenue cycle.
• Thoroughly searches the patient accounting system for an existing medical record on each visit. Uses appropriate search techniques to ensure that no duplicate medical records are created in the master patient index.
• Accurately enters complete demographic information into the system. Verified information should include correct spelling of patient name, date of birth, gender, address, phone number, guarantor data, etc. Patient names should follow hospital protocol regarding middle names, suffixes, etc.
• Ensure assigned DARs and/or work queues are monitored and worked on a daily basis, ensuring that all elements of the accounts are secured for billing.
• Financially secures all patient accounts to maximize hospital reimbursement in a customer service-oriented fashion.
• Maximizes the efficiency and accuracy of the collection process by pursuing collections at the time of service.
• Provides complete and accurate documentation on each visit to ensure compliance with hospital and government regulations.
• Provides continuous support of process improvements through compilation of data, excellent customer service, monitoring and evaluation of departmental roles, and proposals for process improvement initiatives.

Skills & Requirements

• Required: High School Diploma or equivalent
• Preferred: 6 months Experience as an admissions representative/counselor performing all aspects of the registration process
• Associate or bachelor's degree may be substituted for the experience